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Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 9934
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I Lot 50. I Block 1 Ward
OUTSIDE WORK
I Addition or Replat
Date
NIW SEWEI WATER STORMS FE" FEES RElAY S. SEWER WATER STORMS FE..
From Main 10 Curb Seplic Tanks From Main 10 Curb
nom Curb 10 BuUdlng Eleclric PumPR From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
USED
FE"
NO.
NEW
RIP. I USED
FE"
"O.
NEW
REP.
USED
FEES
BathTub
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Garbage DiopooaIs
Catch Bulns
Wub Buin
Dishwashers
Conductors
WaiN CI_t
Laundramals
Greue Celch Bulns
I----I-~f--
Sink
Water Softeners
/
J,f¡, DOl
Sump Pump &: Ejeclors
Water Heaters
Sanitary Bubblers
Bar and Soda Wasles
Shower Belha
Urineta
noor Dralu
Denlel Cuspidors
Laundry Tubs
Service SinD
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.j!uation of Ihe Work Herein Described
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~
Fee Verified, Receipled and Recorded
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Received Permit and Inspection F-
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Date d. II, 71
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections"except as heJ:eÙ1after listed.
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